Open the Orifices: Point Combinations for Allergy Presentations

Managing seasonal and chronic allergies requires addressing complex underlying patterns like Liver/Spleen disharmony and phlegm rather than just surface wind symptoms. Practitioner Craig Williams utilizes a "skeleton prescription"—GB 14, GB 15, Du 23, Du 24, LI 20, and LI 11—to effectively open the nasal passages and alleviate eye irritation. Each point serves a specific function: LI 20 opens the nose and clears heat, while GB 14 and GB 15 benefit the eyes and eliminate wind. The protocol is highly customizable based on the patient's presentation; for example, ST 44 is added when significant heat signs like a red tongue or bloodshot eyes are present. For cases involving excess phlegm, the addition of ST 40 is recommended. A valuable "clinical pearl" involves the combination of LI 11 and ST 40 to rapidly reduce acute heat and phlegm. Specific needle techniques, such as threading Du 24 to Du 23 or strongly stimulating LI 20 until a sensation radiates to the eyes, further enhance the efficacy of the treatment. This targeted approach provides a robust framework for managing the multifaceted nature of allergy-related congestion.